Active NPI
Nicholas Druhn, PSYD
- Forensic Psychologist
- Minneapolis, MN
National Provider Identifier
1306099379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- LP5398
- Practice address
- 300 S 6TH St
Suite C-509
Minneapolis, MN 55487-0351 - Phone
- (612) 348-3723
- Fax
- (612) 348-3452
- NPI assigned
- Nov 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | LP5398 | MN | Primary |
Addresses
Primary practice location
300 S 6TH St
Suite C-509
Minneapolis, MN 55487-0351
Mailing address
300 S 6TH St
Suite C-509
Minneapolis, MN 55487-0351
Phone (612) 348-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5398 | MN | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1306099379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S 6TH ST",
"address_2": "SUITE C-509",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554870351",
"telephone_number": "612-348-3723",
"fax_number": "612-348-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 6TH ST",
"address_2": "SUITE C-509",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554870351",
"telephone_number": "612-348-3723",
"fax_number": "612-348-3452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUHN",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-03",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MN",
"license": "LP5398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.